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Fig 5. Patient 18, a 70-year-old men status post 61 months of radiation therapy for treatment of a squamous cell carcinoma of the larynx, followed by total laryngectomy with an enhancing ulceration with negative biopsy results (category 4) of the base of the tongue. There is adjacent peripheral and nodular enhancement (arrows). This patient has been followed for 19.5 months since initial diagnosis without evidence of tumor recurrence.
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